The ear has symptoms of mild otitis externa, chronic otitis externa

It's not comfortable to touch it at first, insist on touching it, don't dig it with your hands, and don't let the water go in when you take a bath.

The pain you describe is typical of inflammation of the external auditory canal, usually compression and stretching pain in the tragus.

It has nothing to do with your medication itself.

With the right medication, this inflammation of the external auditory canal can usually be done within 1 week**.

Be careful not to pluck your ears lately, take a bath to avoid water, and it is best not to swim.

** Swimmers' ears can often be prevented by rinsing the ear canal immediately after swimming with a 1:1 mixture of alcohol and vinegar. Alcohol helps remove water from the ear canal, while vinegar alters the pH inside the ear canal

Systemic antibiotics** are rarely necessary unless there are signs of spread of cellulitis or other infection beyond the external auditory canal**.

In diffuse otitis externa, topical antibiotics and corticosteroids are effective. First, gently clean the infection desquamation within the external auditory canal with a suction or dry roll of cotton. A solution containing 10,000 ml of neomycin sulfate and polymyxin sulfate B10,000 mL is effective for ** common gram-negative bacilli infections.

The addition of topical corticosteroids, such as hydrocortisone 1%, reduces swelling and allows antibiotics to penetrate deeper into the external auditory canal; 5 drops each time, 3 times a day for 7 days. Topical drops of 2% acetic acid for otitis externa, 5 drops each time, 3 times a day, for 1 day to change the pH of the external auditory canal are also effective. Topical addition of hydrocortisone 1% reduces swelling and enhances the effectiveness of acetic acid.

Within 24-48 hours of onset, it is often necessary to use analgesics, such as oral codeine 30 mg every 4 hours. If cellulitis and a tendency to spread outside the ear canal are present, oral penicillin 250 mg can be given every 6 hours for 7 days. If the patient is allergic to penicillin, the same dose of erythromycin may be used instead.

Boils of the external auditory canal should be allowed to burst and drain on their own, as incision and drainage can lead to the development of auricular perichondritis. Oral antistreptococcal antibiotics**. Topical antibiotics are often ineffective.

To stop pain, it is necessary to use analgesics, such as codeine 30 mg orally every 4 hours. Dry, warm compresses can also help relieve pain and speed healing.

A common condition for ear inflammation is secretory otitis media. Secretory otitis media is caused by poor Eustachian tube function, decreased cleaning and defense function of Eustachian tubes, or acute upper respiratory tract infection, pathogenic bacteria through the Eustachian tubes caused by infection of the middle ear cavity, resulting in inflammatory lesions of the middle ear. The pathogen is usually hemolytic streptococcus, and patients will experience sudden hearing loss, increased self-sensory sounds, ear pain, occlusion in the ear, and tinnitus.

In addition, a small number of patients will have intraauricular discharge, but the duration is relatively short, and the examination may reveal radioactive vascular streaks around the loose and tense parts of the tympanic membrane, and the tension and whole tympanic membrane collapse, which is manifested as the shortening or disappearance of the light cone. On **, patients need symptomatic anti-inflammatory**, and oral anti-inflammatory drugs can be taken orally cefixime, amoxicillin, and penicillin V potassium tablets. If the patient's ear pain is more obvious, norfloxacin ear drops can also be used topically, which can gradually heal in about a week.

The main symptoms of chronic otitis externa are: ear itching, ear fullness, otorrhoea, hearing loss, etc., which is a chronic or ** inflammation of the external auditory canal and subcutaneous skin tissues. In chronic cases, thickening of the external auditory canal and epithelial desquamation can be seen.

Fungal patients have blue smoke, black or yellow-white mold moss in the external auditory canal, hyphae can be seen, and the contact with ** is crust-like. After it is removed, it can be seen that the external auditory canal is congested and erosive. When there is a bacterial co-infection, the congestion and swelling worsen.

The crusty discharge in the external auditory canal is dissolved by adding an alcohol solution of 10% sodium hydroxide or sodium sulfide. The smear is diagnosed when viewed under a microscope and hyphae and round or elliptical spores are visible. but in secretions with co-infection; Often the fungus cannot be found.

Chronic otitis externa is very difficult, first of all, it should be removed, allergens should be avoided, the external auditory canal should be cleaned regularly, and according to the results of bacterial culture, local drops should be used with sensitive antibiotic solution or small gauze soaked in antibiotic solution should be filled in the external auditory canal. The symptoms of chronic otitis externa are mainly ear discomfort and itching, often with a small amount of discharge, hearing loss, congestion or thickening of the external auditory canal**, or covered with a small amount of pus or debris in the crust. Sometimes the crust can be removed to cause bleeding, and the eardrum may be cloudy or thickened, or a small amount of granulation may form on the surface of the eardrum because the tympanic membrane epithelium is damaged.

It is also very easy to cause deafness and tinnitus.

Problem analysis: Symptoms of otitis externa: 1. Acute:

Burning, pain, and hearing sensation in the external auditory canal, and in severe cases, it is accompanied by generalized fever and malaise, and periauricular lymphadenopathy is swollen. 2. Chronic: discomfort and itching in the external auditory canal, with a small amount of discharge.

During the course of the disease, the elderly may have hearing loss due to thickening of the external auditory canal**. Suggestions: If you find the above symptoms, you should go to a regular hospital in time**, not blindly on your own**.

Hello, otitis externa is often manifested as local pain, water or pus in the ear, severe discomfort such as hearing loss, often due to ear picking, ear water or decreased body resistance.

1.Acute diffuse otitis externa.

1) Pain: There is a burning sensation in the ear at the beginning of the disease, and as the disease progresses, the ear is swollen and painful, the pain is aggravated, and even restless, aggravated when chewing or talking.

2) With the development of the disease, secretions flow out of the external auditory canal and gradually increase, and the initial secretion is thin and gradually thickens into purulence.

2.Chronic otitis externa.

Chronic otitis externa often causes itchy and uncomfortable ears, and a small amount of secretion flows out from time to time. If the external auditory canal is damaged due to swimming, bath water, or ear picking, it can turn into an acute infection, with the symptoms of acute diffuse otitis externa.

1.In the early stage, local hot compresses or ultra-short wave diathermy and other physiotherapy treatments are used.

2.In severe cases, antibiotics should be used to control the infection. Take sedatives and analgesics.

3.Topical ear drops with 1 3% phenol glycerol or 10% fish glycerin or the above liquid gauze are applied to the affected area, and the gauze is changed 2 times a day. Chronic patients can be applied topically with antibiotics and steroid hormones (such as prednisone, dexamethasone, etc.), pastes or creams.

Pus and secretions from the external auditory canal can be washed with 3% hydrogen peroxide.

4.After the boil matures, the pus head is punctured or incised and drained in time.

5.Actively ** infection foci such as suppurative otitis media, diagnosis and treatment of certain related diseases of the body such as diabetes.